LAURA A. DIRICO (FNP-C) – Family Nurse Practitioner, NPI 1215108295

LAURA A. DIRICO (FNP-C) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 104267 (GA). The NPI Number for LAURA A. DIRICO (FNP-C) is 1215108295

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LAURA A. DIRICO (FNP-C)
NPI
1215108295
Phone
(404) 653-0039
Address
285 BLVD NE
Enumeration Date
18 March 2008
Last Update Date
14 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035293271
Graduation Year
2005 (21 years ago)
PAC ID
4587733241
Group Practice PAC ID
3173895000
Professional Enrollment ID
I20231121003521
Address ID
CT065132038EA317XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for LAURA A. DIRICO (FNP-C)

  • Boulevard Northeast, Atlanta, Georgia, 30308, United States

    SUITE 345

    ATLANTA, GA 30312

    Phone: (404) 653-0039

    Fax: (404) 653-0159

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231121003521INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected1515$0
View full utilization report →

Insurance plans in this area (ZIP 30312)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173895000View full group profile
NameSpecialtyState
Physician AssistantGA
-CT
Nurse PractitionerCT
Cardiovascular Disease (Cardiology)CT
Pulmonary Disease, Critical Care (Intensivists)CT
Nurse PractitionerCT
-CT
Internal MedicineAR
Physician AssistantMA
Internal MedicineCT

Reviews

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Frequently asked questions

How do payers reference LAURA A. DIRICO (FNP-C)?
For LAURA A. DIRICO (FNP-C), use NPI 1215108295 as the unique 10-digit identifier.
Is LAURA A. DIRICO (FNP-C) shown as active in public data?
Registry records indicate LAURA A. DIRICO (FNP-C) maintains an active NPI.
What kind of doctor is LAURA A. DIRICO (FNP-C)?
LAURA A. DIRICO (FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAURA A. DIRICO (FNP-C)?
Travel planning: use Atlanta, Georgia as the reference point for LAURA A. DIRICO (FNP-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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